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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Stereotactic Radiosurgery for Gynecologic Cancer
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Radiation therapy for rectal cancer.

Michelle Tseng1, Yu Yang Soon1, Balamurugan Vellayappan1

  • 1Department of Radiation Oncology, National University Cancer Institute, Singapore (NCIS), National University Health Systems (NUHS), Singapore, Singapore.

Journal of Gastrointestinal Oncology
|January 18, 2020
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Radiotherapy (RT) has evolved in rectal cancer treatment. Neoadjuvant chemoradiotherapy (chemo-RT) followed by surgery is now standard, shifting from adjuvant chemo-RT, with ongoing research for personalized care.

Keywords:
Radiotherapy (RT)rectal cancerreview

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Surgical Oncology

Background:

  • Radiotherapy (RT) is a key component in multimodal rectal cancer treatment.
  • Historically, adjuvant chemoradiotherapy (chemo-RT) was standard for locally advanced rectal cancer.
  • Current standards have shifted towards neoadjuvant chemo-RT before surgery.

Purpose of the Study:

  • To review the historical evolution of RT in rectal cancer management.
  • To discuss the current standards of care involving RT.
  • To explore future directions and personalized treatment strategies in rectal cancer.

Main Methods:

  • Review of historical treatment paradigms in rectal cancer.
  • Analysis of current standards of care, including neoadjuvant and adjuvant RT.
  • Discussion of emerging trends and clinical trials in personalized rectal cancer therapy.

Main Results:

  • The standard of care for locally advanced rectal cancer has transitioned from adjuvant to neoadjuvant chemo-RT.
  • Neoadjuvant RT alone remains a viable alternative treatment option.
  • Personalized treatment approaches are increasingly being investigated.

Conclusions:

  • The role of RT in rectal cancer has significantly evolved.
  • Clinical decisions involve choosing between neoadjuvant chemo-RT and neoadjuvant RT alone.
  • Future rectal cancer management will focus on personalized treatments to optimize outcomes and minimize toxicity.